Merrill, Tessa Ariel

Merrill, Tessa Ariel is an individual health care provider with primary practice located at 203 Hospital Dr Suite 200, Glen Burnie MD 21061. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Merrill, Tessa Ariel can be contacted via phone (410) 760-8840.

Contact Information

Primary practice address
203 Hospital Dr Suite 200 Glen Burnie MD 21061
Phone: (410) 760-8840
Fax: (410) 760-8847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 14450 North Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01390 Maryland

Profile Details

NPI number 1902258817
LBN Legal business name Merrill, Tessa Ariel
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Oct 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902258817 NPPES
Maryland MEDICAID 448603000

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